IATROGENIC CUSHING SYNDROME AND HYPERTENSION IN AN INFANT GIRL DUE TO USE OF NAPPY RASH CREAM CONTAINING A POTENT TOPICAL STEROID

Authors

  • Saima Gillani Associate Professor, Department of Pediatrics, AYUB MEDICAL COLLEGE,ABBOTTABAD.PAKISTAN.
  • Burhan Ali Danish PAeds ATH
  • Syed Faiz Muhammad Shah Paeds
  • Fawad Hussain Consultant dermatologist (UK)
  • Farida Aziz Professor and Head of Pediatrics and neonatology department. Frontier medical college.Abbottabad.
  • Attiya Iqbal Medical officer and post graduate FCPS trainee .Pediatrics A ward. Ayub Teaching Hospital.

Abstract

Eleven months old female patient presented to paediatric out patient with parents concerned about her facial swelling. Upon examination child’s weight and height for age were normal on her percentiles, she had a cushingoid facies with plethoric cheeks (Figure-1,2) though generalized oedema was absent and there was centripetal obesity with some muscle wasting (Figure-3,4). Systemic examination was normal excluding blood pressure which was high for her age. Electrolytes and cortisol levels were normal. On further inquiry it was revealed that she had been using a nappy rash cream containing a potent steroid, i.e., fluticasone for 2 months and this was identified as a cause for her cushingoid features.Keywords:  Cushingoid face; Topical steroids; Paediatric hypertension

Author Biographies

Saima Gillani, Associate Professor, Department of Pediatrics, AYUB MEDICAL COLLEGE,ABBOTTABAD.PAKISTAN.

associate professor,department of paediatrics,ATH, Abbottabad

Burhan Ali Danish, PAeds ATH

Post graduate FCPS trainee medical officer. Pediatrics and neonatology. Ayub Medical College.

Syed Faiz Muhammad Shah, Paeds

ATH

Fawad Hussain, Consultant dermatologist (UK)

Consultant dermatologist (UK)

Farida Aziz, Professor and Head of Pediatrics and neonatology department. Frontier medical college.Abbottabad.

Professor and Head of Pediatrics and neonatology department. Frontier medical college.Abbottabad.

Attiya Iqbal, Medical officer and post graduate FCPS trainee .Pediatrics A ward. Ayub Teaching Hospital.

Medical officer and post graduate FCPS trainee .Pediatrics A ward. Ayub Teaching Hospital.

References

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Published

2020-01-23

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